4KN-19283-71782
2 vaccinations
3 coded responses
7 check-ins
3 free-text entries
5 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 112 / NY
- Registered
- 2021-04-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-04
Dose 1 — Moderna
-
2021-04-01
Registered in v-safe
-
2021-04-01
Dose 2 — Moderna
- 2021-04-01
-
2021-04-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-02
Report sent to call center — days 1–6 daily, dose 2Be unable to do your normal daily activities1 call case(s)
-
2021-04-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-03
Report sent to call center — days 1–6 daily, dose 2Be unable to do your normal daily activities1 call case(s)
-
2021-04-04
Survey response — days 1–6 daily, dose 2MedDRA: Pregnancy — Feeling: Poor · Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activitiesFree text: These symptoms may be from pregnancy, not vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-04
Report sent to call center — days 1–6 daily, dose 2Be unable to work · Be unable to do your normal daily activities1 call case(s)
-
2021-04-05
Survey response — days 1–6 daily, dose 2MedDRA: Office visit, Pregnancy — Feeling: Poor · Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: OBGYN (am pregnant)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-05
Report sent to call center — days 1–6 daily, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-06
Survey response — days 1–6 daily, dose 2MedDRA: Pregnancy — Feeling: Poor · Chills, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: OBGYN (am pregnant) who prescribed zofranMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-06
Report sent to call center — days 1–6 daily, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-12
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-04-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-04 | Moderna | |
| 2 | 2021-04-01 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-02 | priority 2/3 | |
| 2021-04-03 | priority 2/3 | |
| 2021-04-04 | priority 2/3 | |
| 2021-04-05 | Successful | Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2021-04-06 | Successful 2021-04-12 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): These symptoms may be from pregnancy, not vaccine
Healthcare visit (other): OBGYN (am pregnant)
Release 7 — days 1–6 daily, dose 2
Healthcare visit (other): OBGYN (am pregnant) who prescribed zofran
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| HCVO | Pregnancy | ✓ | ✓ | ✓ |
| SRO | Pregnancy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release